Physician Assistant
STACIE HENDERSON PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1982288486 · enumerated 2021-05-11 · record updated 2023-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: STACIE HENDERSON
Addresses and phones
- Practice location 972 N 600 E, SPANISH FORK, UT, 84660-1306 (801) 465-4896 Fax (801) 465-3267 Google Maps Apple Maps OpenStreetMap
- Mailing address 1055 N 500 W, ATTN. CREDENTIALING, PROVO, UT, 84604-3305 (801) 354-8225 Fax (801) 418-0941 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary · License 13182462-1206 UT
In this directory
Locations and evidence
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Practice location
SPANISH FORK, UT, 846601306
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.